| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $367.50 | $367.50 | $367.50 | |
CareFirst
| Professional | $1,035.91 | $1,035.91 | $1,191.30 | |
United
| Facility | $450.00 | $450.00 | $450.00 | |
Wellpoint
| Professional | $1,100.00 | $1,100.00 | $1,100.00 |